改良快速康复外科临床路径在甲状腺手术中的应用

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Abstract ObjectiveTo implement a better mode of clinical pathway of thyriod surgery by investigating the feasibility of pathway on improved fast-track sugery used in thyroid operation.Methods150 cases of thyroid surgery were selected in our hospital from June 2015 to November 2016 and divided into modified fast-track surgery thyroid surgery group (treatment group)and traditional fast-track thyroid surgery group(control group)according to the order of admission,75 cases in each group.The differences including preoperative anxiety,preoperative thirst and hunger,onset time of anesthesia,frequency of viomitting and aspiration during operation,operation time,intraoperative blood loss,postoperative recovery time,the first exhaust time after operation,incision pain and angina,postoperative complications,postoperative daily drainage,length of hospital stay,cost and satisfaction degree of the patients between two groups were compared and analyzed comprehensively.Results Subjective feeling in the treatment group was better than that in the control group (P＜0.01).Onset time of anesthesia,operation time,postoperative recovery time and the first exhaust time after operation in the treatment group was better than that in the control group (P＜0.01).Cost and length of hospital stay in the treatment group was significantly less than that in the control group(P＜0.01).There was no difference in postoperative complication rate between two groups(P＞0.05).ConclusionThe application of improved fast-track surgery in the treatment of thyroid surgery can not only reduce the pain of patients,but also save cost.It is worth to be popularized.

Key words： Fast-track surgery Clinical pathway Thyroid surgery

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	Articles by authors
	WU Zhi-hui
	YAN Wei-hua
	HUANG Jin-lin

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WU Zhi-hui,YAN Wei-hua,HUANG Jin-lin. Application of clinical pathway on improved fast-track surgery in thyriod surgery[J]. 中国当代医药, 2017, 24(2): 35-38.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I2/35

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